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目的:研究我院重症医学科(Intensive Care Unit,ICU)病房22例重症胰腺炎的治疗措施和临床疗效。方法:选取2014年1月至2014年12月期间我院ICU病房所收治的22例重症胰腺炎患者作为研究对象,来探讨与分析ICU病房治疗重症胰腺炎的具体措施和临床效果。结果:13例采用手术方式实施治疗的患者,治疗有效11例,占84.62%,其中6例术后产生轻微并发症;死亡2例,其中1例因肠瘘致死,1例因感染性休克;患者的住院时间为(36.1±2.2)d。9例采用非手术措施进行治疗者,治疗有效8例,占88.89%,其中4例出现并发症;死亡1例,因肺部感染致死;患者的住院时间为(38.4±3.4)d。全部22例患者中,治愈并出院19例,占86.36%,治疗效果非常显著。结论:根据患者病情及个体特征实施针对性的综合治疗措施,将手术与非手术两种治疗方式有机配合使用,可提高治疗效果,值得在临床中应用与推广。
Objective: To study the treatment and clinical efficacy of 22 cases of severe pancreatitis in Intensive Care Unit (ICU) ward in our hospital. Methods: Twenty-two patients with severe acute pancreatitis admitted to ICU ward from January 2014 to December 2014 were selected as the research object to investigate and analyze the specific measures and clinical effects of ICU ward in the treatment of severe pancreatitis. Results: Of the 13 patients who underwent surgical treatment, 11 cases were treated effectively, accounting for 84.62%. Six of them had slight complications after surgery and two died. Among them, 1 died of intestinal fistula and 1 died of septic shock. The patient’s hospital stay was (36.1 ± 2.2) days. Among the 9 cases treated with non-surgical measures, 8 cases were effective and 88.89% were effective. Complications were found in 4 cases, 1 case died and died of pulmonary infection, and the hospital stay was (38.4 ± 3.4) days. Of the 22 patients, 19 were cured and discharged, accounting for 86.36%. The treatment effect was very significant. Conclusion: According to the patient’s condition and individual characteristics of the implementation of targeted comprehensive treatment measures, the two kinds of surgical and non-surgical treatment of organic combination can improve the therapeutic effect, it is worth in the clinical application and promotion.